Diagnosis of Airflow Limitation Combined With Smoking Cessation Advice Increases Stop-Smoking Ratea

Goérecka, Dorota; Bednarek, Michał; Nowinéski, Adam; Pusécinéska, Elz ̇bieta; Goljan-Geremek, Anna; Zielinéski, Jan

doi:10.1378/chest.123.6.1916

Cited by 146 publications

(108 citation statements)

References 27 publications

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“…Indeed, we had more smokers with a higher mean burden of cigarette use (21 vs. 17 cigarettes/day) and lower mean lung function (74% vs. 90% predicted). Interestingly, these factors might have influenced motivation to quit in opposite ways, the former associated with a higher degree of nicotine dependence and hence less likelihood of quitting and the latter associated with a greater likelihood of quitting (Gorecka et al, 2003). Our data show that patients with higher cigarette consumption but lower lung function were able to significantly reduce their consumption after the visit to the PFT laboratory, suggesting that smokers with impaired lung function may respond better to smoking cessation interventions (Bednarek et al, 2006;Gorecka et al, 2003;McClure et al, 2009).…”

Section: Discussionmentioning

confidence: 99%

Motivating Smokers in the Hospital Pulmonary Function Laboratory to Quit Smoking by Use of the Lung Age Concept

Kaminsky

Marcy

Dorwaldt

et al. 2011

Nicotine & Tobacco Research

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Section: Discussionmentioning

confidence: 99%

Motivating Smokers in the Hospital Pulmonary Function Laboratory to Quit Smoking by Use of the Lung Age Concept

Kaminsky

Marcy

Dorwaldt

et al. 2011

Nicotine & Tobacco Research

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“…34 These efforts can be reinforced by using tools such as the Fletcher-Peto plot of lung function decline in COPD due to smoking, 35 the Primary Care Respiratory Calculator (developed by the University of Adelaide and available at http://doctorwidget.com), or "estimated lung age". 36 …”

Section: Disease Monitoringmentioning

confidence: 99%

Spirometry in primary care case-identification, diagnosis and management of COPD

Price

Crockett

Arne

et al. 2009

Primary Care Respiratory Journal

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SummaryChronic obstructive pulmonary disease (COPD) is an important cause of morbidity and mortality worldwide, yet it remains significantly under-diagnosed. Systematic and opportunistic case-identification efforts in primary care, using questionnaires, careful assessment to identify symptoms, and follow-up spirometry, might improve diagnosis rates and enable earlier detection and management of COPD.The aims of spirometry performed for case-identification purposes are to exclude those patients with symptoms but normal lung function and identify those who require more complete investigation for COPD, including 'diagnostic standard' spirometry. Among patients with a confirmed diagnosis of COPD, spirometry monitoring is useful in identifying those with rapid deterioration in lung function who require further assessment. Spirometry in primary care can also support patient education and may encourage smoking cessation and treatment adherence.

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“…Most importantly, it has proved to be a helpful tool in convincing patients to stop smoking [10], with the spirometric diagnosis providing the motivation to quit in the long-term [11]. A few flow-volume curves from patients in my own practice illustrate the above issues.…”

Section: Figurementioning

confidence: 99%

“…It is possible to perform screening of all smokers [10], but this is likely to present a large burden on practice time and resources. Therefore, it seems more practical to use case-finding strategies to detect high-risk patients, which has been shown to increase detection rates of COPD from 18 to 48% by selecting patients on the basis of age, symptoms and smoking [14].…”

Section: Figurementioning

confidence: 99%

The necessity for spirometry in the primary care management of COPD

Chavannes

2004

Primary Care Respiratory Journal

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KEYWORDSSummary Implementation of spirometry in the primary care setting is controversial. Spirometry allows a unique non-invasive look into the functioning of the lungs, which can be both medically informative and of practical value. Respiratory complaints are among the most prevalent in primary care, while smoking rates remain globally high, illustrating the need for proper tools to investigate the possible causes of chronic pulmonary symptoms. Smoking cessation programs and disease management programs are the preferred treatment strategies for COPD; these rely on a valid spirometric diagnosis, as promoted by international COPD guidelines. In addition, involving the patient in treatment plans and explaining the detrimental effects of smoking can be greatly facilitated by the visual impact of a flow-volume curve, have promoted the use of spirometry. While there are difficulties in implementation of spirometry in primary care. Provided that quality standards of performance and training are sufficiently met, evidence suggests that spirometry is a valid, feasible and interpretable diagnostic tool in a primary care setting. COPD is a growing problem for society, which should not be underestimated, and with sufficient funding, adequate training and motivated healthcare workers, there is no good reason why spirometric testing cannot be widely implemented. © 2003 General Practice Airways Group. Published by Elsevier Ltd. All rights reserved.Over the past few years, increasing attention has been paid to the detection and treatment of chronic obstructive pulmonary disease (COPD) in primary care, in part caused by the worldwide increase in burden and mortality [1]. In contrast with other major diseases, the prevalence of COPD will continue to rise, predominantly caused by an increase in the numbers of female patients with COPD [2]. Early diagnosis of COPD is important, since smoking cessation can reduce the rate of progression to severe disease [3], which benefits each patient and every practice. There are, however, both patient-and healthcare provider-related factors which hamper * Tel.: +31-43-3882315; fax: +31-43-3619344.E-mail address: niels.chavannes@hag.unimaas.nl (N. Chavannes). this early detection [4], in particular underreporting of complaints and lack of active detection.Spirometry is being increasingly implemented throughout primary care in Western Europe, and in some countries is now being used in the majority of practices [5,6]. GPs seem to appreciate this relatively new tool highly [7], as it generates diagnostic information previously unattainable in primary care. It provides a comprehensive overview of airflow and lung capacity, and with high quality measurement, permits an accurate and reliable diagnosis of obstructive airways disease and the degree of reversibility. A recent study has shown for the first time that performing simple spirometric tests in the primary care setting produces results at least as good as those of pulmonary function laboratories [8]. Recognizing patterns of obstruction,

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Diagnosis of Airflow Limitation Combined With Smoking Cessation Advice Increases Stop-Smoking Ratea

Cited by 146 publications

References 27 publications

Motivating Smokers in the Hospital Pulmonary Function Laboratory to Quit Smoking by Use of the Lung Age Concept

Motivating Smokers in the Hospital Pulmonary Function Laboratory to Quit Smoking by Use of the Lung Age Concept

Spirometry in primary care case-identification, diagnosis and management of COPD

The necessity for spirometry in the primary care management of COPD

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